| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $144.54 | |
Aetna
| Professional | $57.54 | $112.20 | $162.18 | |
Ambetter
| Professional | $58.88 | $74.13 | $158.49 | |
Cigna
| Professional | $67.61 | $91.20 | $138.04 | |
Medica
| Facility | $83.18 | $141.25 | $239.88 | |
Medica
| Professional | $66.07 | $87.10 | $524.81 | |
United
| Professional | $63.10 | $77.62 | $107.15 |